| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $104.71 | $104.71 | $104.71 |
Radiology Therapeutic and/or Chemotherapy Administration-Chemotherapy Administration-Injected
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $104.71 | $104.71 | $104.71 |